Healthcare Insights
Largest IDNs in Washington
Washington is the 13th-largest state in the U.S. by population. The number of hospitals in Washington and healthcare facilities total more than 100, many of which are part of a broader integrated delivery network (IDN) tracked within our platform.
Knowing which Washington IDNs are the largest and most financially successful can boost your healthcare commercialization strategy. For example, whether you’re selling medical devices or looking to implement your new technology, targeting large and financially strong health systems could allow for greater distribution of your product or service among their affiliated hospitals, clinics, ambulatory surgery centers, and imaging centers, ultimately leading to a greater impact.
Using the Definitive Healthcare HospitalView compiled a list of the largest IDNs in Washington based on the number of affiliated hospitals, as well as a list of the hospitals with the greatest NPR.
| Rank | WA IDN name | City | Definitive ID | # of affiliated hospitals | Net patient revenue | # of staffed beds | # of discharges | Explore dataset |
|---|---|---|---|---|---|---|---|---|
| 1 | Providence St Joseph Health (AKA Providence) | Renton | 4716 | 57 | $17,607,865,714 | 10,199 | 414,321 | Explore |
| 2 | MultiCare Health System | Tacoma | 4726 | 12 | $3,600,544,769 | 1,900 | 83,820 | Explore |
| 3 | PeaceHealth | Vancouver | 7046 | 10 | $3,212,122,334 | 1,254 | 68,345 | Explore |
| 4 | VA Northwest Health Network (VISN 20) | Vancouver | 541812 | 10 | n/a | 1,372 | n/a | Explore |
| 5 | Providence Swedish | Seattle | 1047211 | 9 | $3,969,895,037 | 2,208 | 92,522 | Explore |
| 6 | Virginia Mason Franciscan Health (FKA CHI Franciscan Health) | Tacoma | 274190 | 9 | $2,741,514,256 | 1,109 | 56,209 | Explore |
| 7 | Providence Health & Services - Washington | Renton | 846988 | 7 | $1,517,751,252 | 1,198 | 37,129 | Explore |
| 8 | UW Medicine | Seattle | 274119 | 4 | $4,310,206,719 | 1,506 | 69,722 | Explore |
| 9 | Washington State Department of Social and Health Services | Bellevue | 840541 | 3 | $381,926,496 | 1,185 | 1,663 | Explore |
| 10 | EvergreenHealth | Kirkland | 870059 | 2 | $836,249,349 | 330 | 20,027 | Explore |
Fig. 1 Data is from the Definitive Healthcare HospitalView product and the Medicare Cost Report and is displayed according to the most recent 12-month interval tracked in our database. Data accessed May 2024.
What Washington IDN has the most affiliated hospitals?
The Washington health system with the most hospitals is Providence St. Joseph Health (Providence), with 57 hospitals. It is also the largest IDN in Washington, nearly five times over, with over 10,000 staffed beds and more than 410,000 discharges per year. Of all the IDNs in the U.S. based on number of hospitals, it is ranked as the 13th highest based on their number of hospitals and the 8th highest based on the number of discharges.
The health system with the second most affiliated hospitals is MultiCare Health System, with 12 hospitals. Its history dates to 1882 when Tacoma’s first hospital was founded. Now, it’s the largest community-based health system in Washington. In addition to its 12 hospitals, it has more than 300 urgent, primary, specialty, and pediatric care facilities.
Finally, the PeaceHealth Health System and VA Northwest Health Network (VISN 20) are tied for the third-highest number of hospitals, with ten affiliated hospitals each.
| Rank | WA IDN name | City | Definitive ID | # of affiliated hospitals | Net patient revenue | # of staffed beds | # of discharges | Explore dataset |
|---|---|---|---|---|---|---|---|---|
| 1 | Providence St Joseph Health (AKA Providence) | Renton | 4716 | 57 | $17,607,865,714 | 10,199 | 414,321 | Explore |
| 2 | UW Medicine | Seattle | 274119 | 4 | $4,310,206,719 | 1,506 | 69,722 | Explore |
| 3 | Providence Swedish | Seattle | 1047211 | 9 | $3,969,895,037 | 2,208 | 92,522 | Explore |
| 4 | MultiCare Health System | Tacoma | 4726 | 12 | $3,600,544,769 | 1,900 | 83,820 | Explore |
| 5 | PeaceHealth | Vancouver | 7046 | 10 | $3,212,122,334 | 1,254 | 68,345 | Explore |
| 6 | Virginia Mason Franciscan Health (FKA CHI Franciscan Health) | Tacoma | 274190 | 9 | $2,741,514,256 | 1,109 | 56,209 | Explore |
| 7 | Providence Health & Services - Washington | Renton | 846988 | 7 | $1,517,751,252 | 1,198 | 37,129 | Explore |
| 8 | Confluence Health | Wenatchee | 575032 | 2 | $847,866,061 | 187 | 9,604 | Explore |
| 9 | EvergreenHealth | Kirkland | 870059 | 2 | $836,249,349 | 330 | 20,027 | Explore |
| 10 | Skagit Regional Health | Mount Vernon | 854685 | 2 | $492,085,069 | 185 | 8,571 | Explore |
Fig. 1 Data is from the Definitive Healthcare HospitalView product and the Medicare Cost Report and is displayed according to the most recent 12-month interval tracked in our database. Data accessed May 2024.
What Washington IDN has the highest net patient revenue (NPR)?
The IDN in Washington with the highest net patient revenue is Providence St. Joseph Health, with an NPR of $17.6 billion, which makes it one of the highest-performing IDNs in the U.S. based on NPR. This NPR, which far exceeds that of any other IDN in Washington, is understandable given the size of the Providence IDN—more available beds equals more patients seen, which equals greater revenues.
The IDN with the second highest NPR in Washington is UW Medicine, with an NPR of $4.3 billion. Impressively, this IDN has this high of an NPR despite having only four hospitals in its network. It is partnered with the University of Washington School of Medicine and is one of the largest and most comprehensive medical research programs in the world.
Providence Swedish IDN has the third-highest net patient revenue in Washington, with an NPR that is just shy of $4 billion. This IDN is a part of the parent IDN Providence St. Joseph Health, which is the largest IDN in Washington based on both size and NPR. Three of the Providence Swedish hospitals have been named as some of the best regional hospitals for the Seattle Metro and Olympic Peninsula areas.
Targeting IDNs in Washington
For anyone looking to sell into the healthcare industry in Washington, understanding the broader health system landscape is essential for making strategic decisions.
While net patient revenue, or the amount of money that a hospital receives from patient services, is a key metric for the financial strength of these IDNs, other factors can also help if you’re looking to create more targeted and effective sales conversations. For example, integration level, affiliations, prescription patterns, relationships, and referrals can all provide valuable information about an IDN.
If you’re bringing your product or service to market, knowing which Washington IDNs have the most affiliated hospitals and the highest NPR can help you line up sales territories or make key investment decisions. Furthermore, knowing the connections between IDNs, such as which IDNs are a part of the same parent IDN, can further aid your commercialization strategy.
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